NUR2459 Mental Health Exam Questions With Complete Answers.
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Course
NUR2459 Mental Health
Institution
NUR2459 Mental Health
"Termination Phase" of the Nurse-Client Relationship - Summarizing the goals and objectives
achieved, discussing ways to incorporate new coping strategies, reviewing situations that occurred and
exchanging memories
"Working Phase" of the Nurse-Patient Relationship - Maintaining the relationship,...
NUR2459 Mental Health "Termination Phase" of the Nurse -Client Relationship - Summarizing the goals and objectives achieved, discussing ways to incorporate new coping strategies, reviewing situations that occurred and exchanging memories "Working Phase" of the Nurse -Patient Relationship - Maintaining the relationship, gathering data, promoting problem solving skills and self -esteem, facilitate discharge, overcome resistance, evaluate problems and goals Cognitive Behavioral Therapy (CBT) - Theory behind this therapy: Everyone has schemata -unique assumptions about self, others, and the world around them What is a therapeutic milieu or milieu therapy? - A health environment, combined with a healthy social structure within a inpatient or outpatient setting supporting and treating those with mental illness Difference between a social relationship and the nurse -client relationship - Focus on the patient's problems and concerns encouraging them to find their own situations, not "being a friend" or meeting the needs of the nurse Examples of Non -Therapeutic Communication techniques - Reassuring, giving advice, giving approval, disapproving, changing the subject What is "Exploring" - a therapeutic communication technique? - "Tell me more about that" "Would you describe it more fully?" What are examples of therapeutic communication techniques? - Paraphrasing, summarizing, clarifying, exploring, silence, touch What is "False Reassurance" - a non -therapeutic communication technique? - "Don't worry everything will be alright", "You'll be fine". "There's nothing to worry about" What is minimizing feelings - (a non -therapeutic communication technique - Patient: "I wish I were dead. "Nurse: 'I know what you mean." What is affect? - Client's emotional display of mood being experienced What are levels of consciousness? - Alert, Lethargic, Stuporous What is "flight of ideas"? - Rapid changes from one thought to another related thought What is perseveration? - Repeating the same words in response to different questions What is judgement? - Ability to evaluate choices and make appropriate decisions What is autonomy? - Respecting the rights of others to make their own decisions (Big choices: Do you want CPR? Surgery?. Little choices: What would you like to take your medicine with?) =CHOICE/SELF DETERMINATION What are the reasons to use seclusion? - Being a harm to self or others, decreasing sensory overload, patient request What is a violation of the patient's rights? - Forcing client to eat, wash, or dress self What is "Duty to Warn"? - Informing medical staff about a client's threat to harm a specific individual What is the right to leave against medical advice, privacy, and all belongings? - The difference in the rights of clients involuntarily admitted vs. voluntary What is Cognitive Behavioral Therapy? - In this type of therapy, the individual is taught to control negative thoughts to maintain and manage emotions. Uses both cognitive and behavioral approaches to assist client with anxiety management.
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